Phylogenetically, the branchial apparatus represents the “gills” seen in fish and amphibians.
The fetal branchial apparatus is a foregut derivative and develops in the 2nd fetal week.
Present since birth
Recurrent neck infections
Intermittent discharge from neck
Mass usually mobile
Usually a single lesion
Lesion usually nontender ...
Excision of the entire lesion is the standard approach.
Novel endoscopic and marsupialization approaches...
Postoperative follow-up as outpatient for wound inspection
Observation for recurrence or reinfection
Lesion may recur if not completely excised.
High incidence ...
Acierno SP, Waldhausen JH. Congenital cervical cysts, sinuses and fistulae. Otolaryngol Clin North Am. 2007;40(1):161–176. [View Abstract on OvidInsights]
Adams A, Mankad K, Of...
744.49 Other branchial cleft cyst or fistula; preauricular sinus
744.41 Branchial cleft sinus or fistula
744.42 Branchial cleft cyst
Q18.2 Other branchial cleft malformations
Q18.0 Sinus, f...
Q: Can the cyst, fistula, or sinus recur?
A: Only a 3% recurrence rate is seen if the lesion is completely excised. A higher rate of recurrence is seen in cases of incomplete excision or with previ...
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